Interventional Medicine and Applied Science
Volume/Issue:
Volume 2: Issue 2
Successful coil embolization of an arterioportal fistula evolving 12 years after gastrojejunostomy
Authors: Cs. Csobay-Novák 1 , B. Nemes 1 , Gy. Balázs 1 and Kálmán Hüttl 1 , 2
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  • 1 Heart Center, Faculty of Medicine, Semmelweis University, Budapest, Hungary
  • 2 Gaál József u. 9, H-1122, Budapest, Hungary
DOI:
https://doi.org/10.1556/imas.2.2010.2.7
Page Count:
87–90
Publication Date:
01 Jun 2010
Online Publication Date:
01 Jun 2010
Restricted access

Abstract

Arterioportal fistula — either acquired or congenital — is a rare syndrome, which is a real challenge in gastroenterologic diagnostics. We report a case of a 76-year-old female, who was admitted to the hospital with symptoms of permanent abdominal pain and a bruit in the epigastric region. Twelve years prior she underwent Billroth II gastrojejunostomy due to a perforating duodenal ulcer, followed by cholecystectomy 6 months later. CT and MR angiography showed a fistula between the gastroduodenal artery and the portal vein. Successful treatment of the arterioportal fistula was achieved by intravascular coil embolization resulting in the resolution of the symptoms. After six years of follow-up, abdominal ultrasonography did not show any novel findings and our patient is still doing well with no recurrence.

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Cover Interventional Medicine and Applied Science
Interventional Medicine and Applied Science
Print ISSN:
2061-1617
Online ISSN:
2061-5094
Keywords:
extrahepatic; endovascular; Billroth II; partial gastrectomy; arterial catheterization; gastroduodenal artery